Question 1

As more generic manufacturers enter the market to manufacture a specific drug, the AWP discount

Accepted Answer

<P> Increases</P>

Answer

<P>Decreases </P>

Answer

Stays the same

Answer

Increases at first, but then decreases

Question 2

What happens if another PBM classifies Single Source Generics as a Brand?

Accepted Answer

The brand minimum discount guarantees will be inflated

Answer

The brand minimum discount guarantees will stay the same

Answer

None of the above

Answer

The brand minimum discount guarantees will be decreased

Question 3

When it comes to repricing

Accepted Answer

All of the above

Answer

The broker/consultant should reprice the claims file with our enhanced discounts

Answer

You should be aware that when a broker/consultant asks for a claims file, it is because they are conducting a market check or looking at competitors. Also be sure to ask the broker/consultant what time period they are using for the reprice

Answer

We should be offering to provide are priced claims file with current pricing

Question 4

What do we see other PBMs exclude from their 100% pass through rebate offer?

Accepted Answer

Manufacturer Admin Fees (MAF) & Price Protection

Answer

Dispensing Fees & Over the Counter (OTC) and Limited Distribution Drugs (LDD)

Question 5

The following are all questions you should ask a broker/consultant when they request a reprice except:

Accepted Answer

How many members does the competitor have?

Answer

What type of formulary are they using

Answer

Are single source generics counted as generics or brands?

Answer

Is there an admin charge for vaccines or COVID testing products

Question 6

What do we see other PBMs exclude that would impact a rebate guarantee?

Accepted Answer

Over the Counter (OTC) and Limited Distribution Drugs (LDD)

Answer

Manufacturer Admin Fees (MAF)

Answer

Price Protection

Answer

Dispensing Fees

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